Massive Abdominal Wall Hemorrhage from Injury to the Inferior Epigastric Artery: A Retrospective Review

Sobkin, Paul; Bloom, Allan I.; Wilson, Mark W.; LaBerge, Jeanne M.; Hastings, Geoffrey S.; Gordon, Roy L.; Brody, Lynn A.; Sawhney, Rajiv; Kerlan, Robert K.

doi:10.1016/j.jvir.2007.11.004

Cited by 55 publications

(77 citation statements)

References 14 publications

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“…Outside of the operating theatre, however, interventional radiology provides a rapid, proven approach to regaining hemostasis in such patients, with a success rate of up to 90%. 5 In the present case, there was avulsion/traumatic rupture of the branches of inferior epigastric vessels, most probably veins. The treating gynaecologist had continued massage of the uterus for long time through abdominal wall for the control of atonic post partum haemorrhage.…”

Section: Discussionmentioning

confidence: 51%

“…It most commonly occurs as an iatrogenic injury (paracentesis, percutaneous drain, and laparoscopy) [1][2][3][4] . Not surprisingly there is an increased incidence of inferior epigastric vessel injury in patients with end-stage liver disease and coagulopathy [5][6][7] . Non-iatrogenic injury is generally associated with penetrating or high-velocity blunt trauma e.g.…”

Section: Introductionmentioning

confidence: 99%

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Rectus Sheath Hematoma and Intra-peritoneal bleeding following per abdominal uterine massage to control Atonic Postpartum Haemorrhage

Bangal¹,

Denita²,

Chalasani³

et al. 2014

Int J of Biomed & Adv Res

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Section: Discussionmentioning

confidence: 51%

Section: Introductionmentioning

confidence: 99%

Rectus Sheath Hematoma and Intra-peritoneal bleeding following per abdominal uterine massage to control Atonic Postpartum Haemorrhage

Bangal¹,

Denita²,

Chalasani³

et al. 2014

Int J of Biomed & Adv Res

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“…[4][5][6] As far as we searched in MEDical Literature Analysis and Retrieval System Online (MEDLINE), 19 published reports of 56 iatrogenic IEA injuries treated by EVT were identified between January 1965 and July 2016 ( Table 1). [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] to avoid adherence of the catheter to the glue, and the catheter should be retrieved with aspiration after the injection.…”

Section: Discussionmentioning

confidence: 99%

Emergency Endovascular Hemostatic Technique Using N-butyl Cyanoacrylate for Retroperitoneal Hematoma Caused by Inferior Epigastric Artery Injury after Undergoing Catheter Ablation for Atrial Fibrillation: A Case Report

Tsurukiri

Okumura

Sano

et al. 2017

JNET

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Objective: N-butyl cyanoacrylate (NBCA) is used as a liquid embolic agent in various hemorrhagic situations with a high technical success rate and low recurrent bleeding rate, especially in patients with coagulopathy.Case Presentation: An adult patient was admitted to the intensive care unit with coagulopathy and hemorrhagic shock.Past medical history of the patient included dual-antiplatelet therapy and warfarinization for several cardiac diseases.Retroperitoneal hematoma caused by femoral artery (FA) branch injury following percutaneous FA puncture was determined. Thus, we performed endovascular therapy (EVT) using NBCA and achieved successful hemostasis. Conclusion:NBCA used for hemostasis is linked to good technical success and the absence of complications. We concluded that EVT using NBCA is safe and effective among patients with iatrogenic FA branch injury following neuro endovascular therapy as adjunct for other conventional embolic agents.

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“…At present, angiographic embolization is an accepted first line choice for interventional management of RSH [9]. It is very safe and effective, with an overall success rate of 90% and no procedure-related complications [10].…”

Section: Discussionmentioning

confidence: 99%

Rectus Sheath Hematoma Caused by Noncontact Strenuous Exercise

Kim

2017

Journal of Trauma and Injury

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Rectus sheath hematoma (RSH) is an uncommon but well-documented clinical condition. It is usually caused by direct trauma or anticoagulation, although there are many other causes. However, RSH after noncontact strenuous exercise is very rare. We present a rare case of RSH after playing volleyball without direct trauma that was successfully treated by angiographic embolization.Keywords: Abdominal wall; Sports; Angiography INTRODUCTIONRectus sheath hematoma (RSH) with inferior epigastric artery injury is an uncommon but well-documented clinical condition [1]. It is usually associated with abdominal trauma or anticoagulation. Other causes of RSH include abdominal surgery, old age, asthma, coughing, and subcutaneous drug injection into the abdomen [2]. Some cases of RSH due to direct trauma or other causes have been reported, but very few for RSH caused due to noncontact strenuous exercise. We present a rare case of RSH after playing volleyball without direct trauma in a healthy individual. CASE REPORTA 41-year-old woman with right lower quadrant abdominal pain presented to the emergency department. She had experienced abdominal pain after playing volleyball a week previously, which soon resolved with rest. But, the pain recurred after spiking the ball while playing volleyball on the day of admission. The pain aggravated by strengthening her abdomen and subsided with rest. There was no history of direct abdominal trauma. She had no medical history and was not on any medication. Her vital signs were stable: blood pressure, 110/60 mmHg; pulse rate, 87 beats/min; respiratory rate, 16 breaths/min; and body temperature, 36.2°C. Physical examination revealed tenderness and a palpable mass in the right lower quadrant of the abdomen. Laboratory data, including hemoglobin levels, in the normal range. Computed tomography (CT) revealed a 6×4×18 cm rectus sheath hematoma with extravasation in the right lower rectus abdominis muscle (Fig.

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Massive Abdominal Wall Hemorrhage from Injury to the Inferior Epigastric Artery: A Retrospective Review

Cited by 55 publications

References 14 publications

Rectus Sheath Hematoma and Intra-peritoneal bleeding following per abdominal uterine massage to control Atonic Postpartum Haemorrhage

Rectus Sheath Hematoma and Intra-peritoneal bleeding following per abdominal uterine massage to control Atonic Postpartum Haemorrhage

Emergency Endovascular Hemostatic Technique Using N-butyl Cyanoacrylate for Retroperitoneal Hematoma Caused by Inferior Epigastric Artery Injury after Undergoing Catheter Ablation for Atrial Fibrillation: A Case Report

Rectus Sheath Hematoma Caused by Noncontact Strenuous Exercise

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